Q waves Flashcards
Small Q waves are normal in leads
I
VL
V6
(septal Q waves)
A Q wave in lead III but not in VF is likely to be
normal…even when associated with an inverted T wave
How is it possible for Q wave abnormality to disappear?
repeat the EKG WITH patient holding their breath.
Q waves greater than 1 small square in width and at least 2 mm in depth indicate a
MI
The leads where the Q waves appear give some indication of
the part of the heart that has been damaged
Infarction of the anterior wall of the left ventricle causes a Q wave in the leads
v2-v4 or v5
the leads that look at the front of the heart - anterior
If the infarction involves the anterior and lateral surfaces of the heart, Q waves will be present in
V3 and V4 ……and…I, VL and V5-V6 (leads that look at the lateral surface of the hear)
Infarctions of the inferior surface of the heart cause Q waves in the leads that look at the heart from below
III and AVF
Once a Q wave develops, it is usually
permanent
Can a Q wave give indication of the age of an infarction?
No, it does not give any indication of the age of an infarction.
In the presence of a PE, there may be a Q wave in lead
III